Return to service learning Web pageEvaluation for: _____________________________ Site: ____________________________
Evaluation period from _______________, 19 ____ to ______________, 19 ____
Total hours served: _________________ Date of evaluation: ________________, 19 ____
Site Supervisor Signature: __________________________ Telephone: _______________
Please evaluate the student's progress and achievement while completing his/her service work.
Use the following scale:
5-Excellent 3-Satisfactory 1-Unsatisfactory
4-Good 2-Fair NA-Cannot rate
Punctual: arrives at and leaves work on time _______________
Dependable: follows directions, completes work, trustworthy _______________
Adaptable: can learn and perform multiple tasks; open attitude _______________
Attitude: works well as a team member; accepts suggestions _______________
Initiative: ability to act on his/her own _______________
Quality of Work: accurate, thorough, accepts responsibility for duties _______________
Overall Appraisal: _______________
Comments: _________________________________________________________________
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Thank you for your help!
Return to service learning Web page
Direct feedback to: Randy Kimmens
URL: http://www.gc.maricopa.edu/servicelearning/agencyf.htm
Last update: Thursday November 02 2000